| Central Valley Functional Restoration Program | |
|
2004 Mchenry Ave Ste C Modesto CA 95350-3260 | |
| (209) 337-3377 | |
| (209) 729-5353 |
| Full Name | Central Valley Functional Restoration Program |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2004 Mchenry Ave, Modesto, California |
| Authorized Official Name and Position | Robert Caton (PRESIDENT) |
| Authorized Official Contact | 2094915370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Functional Restoration Program 2004 Mchenry Ave Ste C Modesto CA 95350-3260 Ph: (209) 337-3377 | Central Valley Functional Restoration Program 2004 Mchenry Ave Ste C Modesto CA 95350-3260 Ph: (209) 337-3377 |
| NPI Number | 1467992412 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467992412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (California) | Primary |
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